Individual provider Active NPI

Regina A Velarde, MD

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1275510786
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
207499 Issued in NY
Practice address
1662 Central Ave
Albany, NY 12205-4001
Phone
(518) 869-9692
Fax
(518) 869-7220
NPI assigned
Dec 27, 2005
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 207499 NY Primary

Addresses

Primary practice location

1662 Central Ave
Albany, NY 12205-4001

Mailing address

1662 Central Ave
Albany, NY 12205-4001
Phone (518) 869-9692

Other identifiers 17

IdentifierTypeStateIssuer
000401039003OtherBLUE SHIELD OF NENY
000401039002OtherBLUE SHIELD OF NENY
141659448OtherUNITED HEALTH CARE
7425318OtherAETNA
364852OtherMVP
141752151OtherUNITED HEALTH CARE
364850OtherMVP
364851OtherMVP
000401039004OtherBLUE SHIELD OF NENY
141752151OtherSTATEWIDE PPO
2591584OtherGHI
196AD1OtherBLUE CROSS BLUE SHIELD
72703OtherGHI HMO
10022828OtherCDPHP
141659448OtherSTATEWIDE PPO
196AC1OtherBLUE CROSS BLUE SHIELD
196AC2OtherBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707000540 NY Practitioner - Internal Medicine 1759368772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Wisconsin, 1993
Medicare assignment
May accept Medicare assignment
Group practices
CTP Newton Medical PCGroup PAC ID 1456339639, shared by 2 NPIs, 8 clinicians

Practice addresses (Care Compare)

1662 Central Ave
Albany, NY 12205-4057

1770 Central Ave
Albany, NY 12205-4057
Phone (518) 869-9692

588 New Loudon Rd
Latham, NY 12110-4000
Phone (518) 785-2662

588 New Loudon Rd
Latham, NY 12110-4057

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
CTP Newton Medical PC CurrentSince Mar 1, 2004 Accepting new patients
CTP Newton Medical PC CurrentSince Mar 1, 2004 Accepting new patients

Locations

1770 Central Ave
Albany, NY 12205
Phone (518) 400-5886

1662 Central Ave
Colonie, NY 12205
Phone (518) 240-1456

588 New Loudon Rd
Latham, NY 12110
Phone (518) 785-2662

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1275510786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1662 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054001",
            "telephone_number": "518-869-9692",
            "fax_number": "518-869-7220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1662 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122054001",
            "telephone_number": "518-869-9692",
            "fax_number": "518-869-7220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELARDE",
        "first_name": "REGINA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-27",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "207499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NENY",
            "identifier": "000401039003",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NENY",
            "identifier": "000401039002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "141659448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7425318",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "364852",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "141752151",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "364850",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "364851",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NENY",
            "identifier": "000401039004",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATEWIDE PPO",
            "identifier": "141752151",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2591584",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "196AD1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "72703",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10022828",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATEWIDE PPO",
            "identifier": "141659448",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "196AC1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "196AC2",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.